Laroy Pete Penix in East Point - Neurology

Laroy Pete Penix - NPI 1396837225

Laroy Pete Penix is a Neurology in East Point, Georgia. Laroy Pete Penix practices all healthcare services and medical treatments related to Neurology. The NPI Number for Laroy Pete Penix is 1396837225. The last update date is 2007-07-08.

Laroy Pete Penix's current location address is 1100 Cleveland Ave, East Point, Georgia. You can contact this provider via phone number 4047664760 and fax number 4047664702. The mailing address for Laroy Pete Penix is 1100 Cleveland Ave, East Point, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Laroy Pete Penix
Address 1100 Cleveland Ave, East Point, Georgia
Phone Number 4047664760
Fax Number 4047664702
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1396837225
Provider Enumeration Date 2006-09-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1100 Cleveland Ave
City East Point
State Georgia (GA)
Post Code 303443602
Phone Number 4047664760
Fax Number 4047664702

Provider's Primary Taxonomy Detail

Speciality Neurology
Taxonomy 2084N0400X
Licence No 49080
Definition:
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00886894A GA --

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FAQs about Laroy Pete Penix

What is the unique 10-digit identification code issued to Laroy Pete Penix by the Centers for Medicare & Medicaid Services?

The Laroy Pete Penix has been assigned the NPI (National Provider Identifier) 1396837225 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you kindly provide the complete physical address where Laroy Pete Penix's facilities are geographically located?

The facilities of Laroy Pete Penix are physically situated at the following location: 1100 Cleveland Ave, East Point, GA, 303443602.

What is Laroy Pete Penix's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Laroy Pete Penix is Neurology, and the corresponding taxonomy classification code for this specialized field is 2084N0400X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1396837225 to Laroy Pete Penix?

The Centers for Medicare & Medicaid Services originally issued the 1396837225 to Laroy Pete Penix on 2006-09-28.

When was the information regarding Laroy Pete Penix, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Laroy Pete Penix, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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